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Contact Information

C M PETERSON LLC
1328 FOX ACRES DR
LAS VEGAS, NV89134-0511
 Phone: 702-332-8353
 Fax: 702-921-6828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for C M PETERSON LLC

NPI # 1942472303
LBN Legal business name C M PETERSON LLC
Authorized official CHRISTINE PETERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2008
Last updated 04/15/2008 - About 18 years ago
Identifiers
NV License # APN000830 NV
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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